12 VAC35-105-930

In section B, "A medication for opioid use disorder treatment program's physician  shall assess individuals...", change physician to provider to allow for sites that utilize NP or other licensed provider to complete assessment to allow greater access for the population served.

12 VAC 35-105-970

In section A, define Face-face counseling sessions to include Telehealth options audio/visual and full telephonic to be able to complete "in person" session. This allows for greater flexibility for engagement with the population served on a schedule that allows for full integration into functional society and encourage meeting persons served where they are. This will also allow for right treatment right now, when a patient is available and not limit session completion due to transportation or time constraints. 

In section B, add language to define if counseling is not completed trough referral, or verification of completion cannot be obtained, counseling must be completed at site or through telehealth services.

12 VAC 35-105-980

In section B, Toxicology screening weekly if positive for unfavorable substance needs removed/changed to toxicology screening will be at the discretion of the provider/Interdisciplinary team if unfavorable in monthly screen. This is to promote site to individualize treatment to their specific needs and allow for substances that may process slowly to be assessed for impact on sobriety.